Ethics in Health Administration: A Practical Approach for Decision Makers

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  • Edition: 2nd
  • Format: Paperback
  • Copyright: 2009-10-01
  • Publisher: Jones & Bartlett
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Given the many new advances in technology, the changing economy, and a renewed national discussion around universal health care, today's healthcare administrators require a strong foundation in practice-based ethics to confront the challenges of the current healthcare landscape.

Table of Contents

Preface to the Second Editionp. xi
Acknowledgementsp. xiii
Contributorsp. xv
Foundations for Ethicsp. 1
Introductionp. 1
Practical Theoryp. 5
Points to Ponderp. 5
Words to Rememberp. 5
Introductionp. 5
Why Study Ethics Theory?p. 6
St. Thomas Aquinas (1225-1274)p. 7
Immanuel Kant (1724-1804)p. 8
John Stuart Mill (1806-1873)p. 10
John Rawls (1921-2002)p. 12
Personal Ethics Theoristsp. 14
Aristotle (384-322 BCE)p. 15
Martin Buber (1878-1965)p. 16
Lawrence Kohlberg (1927-1987)p. 18
Viktor Frankl (1905-1997)p. 21
What Is Ethics?p. 22
Summaryp. 24
Web Resourcesp. 24
Referencesp. 25
Autonomyp. 27
Points to Ponderp. 27
Words to Rememberp. 27
Introduction and Definitionsp. 27
Autonomy as Informed Consentp. 28
Autonomy as Confidentialityp. 31
Autonomy as Truth-Tellingp. 33
Autonomy as Fidelityp. 35
Summaryp. 38
Cases for Your Considerationp. 38
Web Resourcesp. 45
Referencesp. 45
Nonmaleficence and Beneficencep. 47
Points to Ponderp. 47
Words to Rememberp. 47
Introduction and Definitionsp. 47
Nonmaleficence in Healthcare Settingsp. 48
Beneficence in Healthcare Settingsp. 52
Summaryp. 55
Cases for Your Considerationp. 55
Web Resourcesp. 64
Referencesp. 64
Justicep. 65
Points to Ponderp. 65
Words to Rememberp. 65
Introduction and Definitionsp. 65
Justice for Patientsp. 66
Distributive Justicep. 67
Staff Justicep. 71
Summaryp. 74
Cases for Your Considerationp. 75
Web Resourcep. 79
Referencesp. 79
External Influences on Ethicsp. 81
Introductionp. 81
Quis Custodiet Ispos Custodes? Who Will Guard the Guardians?p. 85
Points to Ponderp. 85
Words to Rememberp. 85
The Age of Accountabilityp. 86
The Ethics of Advocacyp. 93
The Ethics of Staff Competencyp. 95
Summaryp. 103
Cases for Your Considerationp. 103
Web Resourcesp. 110
Referencesp. 110
Market Forces and Ethicsp. 113
Points to Ponderp. 113
Words to Rememberp. 113
Introduction and Definitionsp. 113
General Market Forcesp. 114
Managed Care and Ethicsp. 116
Integrated Medicine (IM) and Ethicsp. 125
Summaryp. 129
Cases for Your Considerationp. 129
Web Resourcesp. 134
Referencesp. 135
Social Responsibility and Ethicsp. 137
Points to Ponderp. 137
Words to Rememberp. 137
What Is Social Responsibility in the Healthcare Business?p. 138
Prevention as Social Responsibilityp. 140
Quality Assurance as Social Responsibilityp. 145
Summaryp. 147
Cases for Your Considerationp. 147
Web Resourcesp. 154
Referencesp. 154
Technology and Ethicsp. 155
Points to Ponderp. 155
Words to Rememberp. 155
Technology and Its Impact on Health Carep. 156
Emergent Technologies and Future Issuesp. 161
Technology and Ethicsp. 164
Technology and the Role of the Healthcare Administratorp. 167
Summaryp. 167
Cases for Your Considerationp. 168
Web Resourcesp. 174
Referencesp. 175
Organizational Influences on Ethicsp. 177
Introductionp. 177
No Mission No Margin: Fiscal Responsibilityp. 179
Points to Ponderp. 179
Words to Rememberp. 179
Show Me the Moneyp. 180
Margin versus Mission: A Delicate Balancep. 182
Summaryp. 190
Cases for Your Considerationp. 191
Web Resourcesp. 197
Referencesp. 197
Organization Culture and Ethicsp. 199
Points to Ponderp. 199
Words to Rememberp. 199
Culture: A Macro and Micro Viewp. 200
The Healthcare Culture Responds: Ethics Committeesp. 204
Assisting the Process: Choosing a Decision-Making Modelp. 207
Summaryp. 209
Cases for Your Considerationp. 210
Web Resourcesp. 218
Referencesp. 218
The Ethics of Qualityp. 221
Points to Ponderp. 221
Words to Rememberp. 221
Introduction to the Ethics of Qualityp. 221
A Historical Viewp. 222
Through the Organization's Eyesp. 224
Going Beyond Compliance: Efforts in Qualityp. 225
Ethics of Quality Programsp. 230
Summaryp. 232
Cases for Your Considerationp. 232
Web Resourcesp. 239
Referencesp. 239
Patient Issues and Ethicsp. 241
Points to Ponderp. 241
Words to Rememberp. 241
Paternalism, or "We Know What's Best"p. 241
The Patient Healthcare Experiencep. 244
Measuring the Patient Experiencep. 247
How Does Measurement Relate to Ethics?p. 249
Providing Care Through a Different Vision: Patient-Centered Care and Ethicsp. 250
Summaryp. 255
Cases for Your Considerationp. 256
Web Resourcep. 265
Referencesp. 265
The Inner Circle of Ethicsp. 267
Introductionp. 267
Moral Integrityp. 269
Points to Ponderp. 269
Words to Rememberp. 269
Definitions of Moralityp. 269
What Do the Experts Say About Morality?p. 271
Maintaining Your Moral Integrityp. 278
Summaryp. 280
Ten Challenges for Maintaining Moral Integrityp. 280
Web Resourcesp. 291
Referencesp. 291
Codes of Ethics and Administrative Practicep. 293
Points to Ponderp. 293
Words to Rememberp. 293
Introduction to Codes of Ethics for Professionalsp. 293
Why Bother with Codes of Ethics?p. 294
Code of Ethics for the American College of Healthcare Executivesp. 297
Learning from Other Codesp. 299
Limitations and Criticisms of Codesp. 306
Summaryp. 307
Five Challenges for Living in Codep. 308
Web Resourcesp. 310
Referencesp. 310
Practicing as an Ethical Administratorp. 311
Points to Ponderp. 311
Words to Rememberp. 311
Introductionp. 311
Key Processes of Healthcare Administration and Ethicsp. 312
Wisdom from the Masters: Ethics in Practicep. 321
Voices from the Healthcare Fieldp. 325
Summaryp. 328
Challengesp. 328
Web Resourcesp. 330
Referencesp. 330
Where Do We Go From Here?p. 331
Points to Ponderp. 331
Words to Rememberp. 331
Summary of Previous Chaptersp. 331
The Future, or Who Hid the Crystal Ball?p. 334
Final Summaryp. 339
Web Resourcesp. 339
Referencesp. 339
Referencesp. 341
Indexp. 349
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